ROBERT MITCHELL QUILLEASH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926530

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MITCHELL

Last Name

QUILLEASH

Suffix

Business Name

ROBERT MITCHELL QUILLEASH OD

Original Issue Date

10/20/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005